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Contact Information

DAVID L SHADID DO INC
4612 S HARVARD AVE
STE A
TULSA, OK74135-2908
 Phone: 918-747-5565
 Fax: 918-747-5568
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Child & Adolescent Psychiatry

2084P0804X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for DAVID L SHADID DO INC · (Female)

NPI # 1992898209
Status Active
Credentials
Entity Individual
Enumeration date 10/02/2006
Last updated 12/02/2014 - About 12 years ago
Sole proprietor 1 Not specified
Identifiers
  • OK License # 2930
  • OK Medicaid 200012860A
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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